Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

John K Petty, MD

Surgery Physician in Winston Salem, NC · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497731095

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Registry record

Entity type Individual (Type 1)

Name John K Petty

Credential MD

Sex Male

Practice address Medical Center Blvd, Winston Salem, NC, 27157

Phone (336) 716-2255

Fax (336) 716-6637

Enumeration date Dec 16, 2005

Last updated in NPPES Nov 12, 2010

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 200501628 (NC) Primary

2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians · License 200501628 (NC) Secondary

2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians · License 200501628 (NC) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
806729	Other	-	PARTNERS
Q01623	Medicaid	SC	-
14042	Other	-	BCBS
10211484	Medicaid	VA	-
7290767	Other	-	AETNA
184276	Other	-	MEDCOST
3810003638	Medicaid	WV	-
5902325	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is John Petty?

John Petty is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-12.